Individual
JENNIFER L CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5290 COBBLEGATE BLVD, MORAINE, OH 45439-5160
(937) 932-2510
Mailing address
11 W MONUMENT AVE FL 7, DAYTON, OH 45402-1274
(937) 461-4300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
09/01/2021
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